Healthcare Provider Details

I. General information

NPI: 1558718718
Provider Name (Legal Business Name): KALI O'MEARA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KALI FARWELL

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SCHOOL ST STE 16
MARSHFIELD MA
02050-2069
US

IV. Provider business mailing address

475 SCHOOL ST STE 16
MARSHFIELD MA
02050-2069
US

V. Phone/Fax

Practice location:
  • Phone: 781-561-2294
  • Fax:
Mailing address:
  • Phone: 781-561-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12225-MH-CC
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: